0001127602-20-029098.txt : 20201116
0001127602-20-029098.hdr.sgml : 20201116
20201116153620
ACCESSION NUMBER: 0001127602-20-029098
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201112
FILED AS OF DATE: 20201116
DATE AS OF CHANGE: 20201116
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Witczak Eric James
CENTRAL INDEX KEY: 0001667436
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37700
FILM NUMBER: 201316283
MAIL ADDRESS:
STREET 1: C/O NICOLET BANKSHARES, INC.
STREET 2: 111 NORTH WASHINGTON STREET
CITY: GREEN BAY
STATE: WI
ZIP: 54301
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: NICOLET BANKSHARES INC
CENTRAL INDEX KEY: 0001174850
STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021]
IRS NUMBER: 000000000
STATE OF INCORPORATION: WI
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 111 N WASHINGTON ST
CITY: GREEN BAY
STATE: WI
ZIP: 54301
BUSINESS PHONE: 920 430 1400
MAIL ADDRESS:
STREET 1: 111 N WASHINGTON ST
CITY: GREEN BAY
STATE: WI
ZIP: 54301
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2020-11-12
0001174850
NICOLET BANKSHARES INC
NCBS
0001667436
Witczak Eric James
C/O NICOLET NATIONAL BANK
111 NORTH WASHINGTON STREET
GREEN BAY
WI
54301
1
EVP - Nicolet National Bank
Common Stock
2020-11-12
4
A
0
963
65.70
A
23765
D
Common Stock
2020-11-12
4
F
0
103
65.70
D
23662
D
Common Stock
6783
I
By 401(k) Plan
The reporting person has not acquired additional shares under the Employee Stock Purchase Plan since the reporting person's Form 4 amended filing on October 23, 2020. The reporting person owns 360 shares total in the Employee Stock Purchase Plan which is included in the reporting persons direct beneficial ownership total.
/s/ Ann K. Lawson, as attorney-in-fact for Eric J. Witczak
2020-11-16